Olotor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

OLOTOR LLC

Doing business as

Walnut Grove Nursing and Rehabilitation Center

Practice address

1393 Don Tyson Blvd
Springdale, AR 72764

Phone

(479) 751-2390

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Dranguet

Title

Office Manager

Phone

(601) 853-2605

Specialties & licenses 1

Addresses

Other names 1

• Walnut Grove Nursing and Rehabilitation Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1073795936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PROFESSIONAL PKWY",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574190",
            "telephone_number": "601-853-2605",
            "fax_number": "601-853-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 DON TYSON BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72764",
            "telephone_number": "479-751-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLOTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "DRANGUET",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-853-2605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Grove Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary H Obrien, AUD,CCC-A
• Elizabeth Ocampo-Roman, M.S., CF-SLP
• Ellen Marie Odell, DNP
• Allison Sabra Odom, LMSW
• Lauren B Officer, APRN
• Olumide Toluwalope Olowokere, DDS
• Helen Olson
• Optimize Wellness, LLC
• Kirsten Orange, PMHNP
• Joshua T Oriez, MSW

• Skilled Nursing Facility in Springdale, AR
• Providers in Springdale, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.